Medical Record Release

For your convenience, you can complete these forms and fax them in.

Medical Record Release for

Care Coordination

If you need to have your medical records sent to another provider
(ie: Dermatologist, Cardiologist, another PCP due to moving) please fill out this form.

Medical Record Release for

Personal Use

If you need a copy of your medical records for personal use please fill out this form.

Insurance Questions?

IGIMG participates in most area health plans, but check to be sure your insurance plan is on our list of participating plans. We encourage you to contact your insurer and consult your benefits information to stay informed of what is and is not covered by them, and to avoid surprises. IGIMG requests payment for all co-pays and non-covered services at the time of your visit.